Long Beach City College PeopleSoft Modification Request Form ______________________________________________________________________ Requested by: _______________________________________ Date: ____________________ Requesting Department: ____________________________ Case ID: __________________ Approval required: (by Vice President of area)______________________________ Approval required by RMUG members_____________________________________ PeopleSoft System/Component: ________________________ ACIT Use Only: Approved: ___ Not Approved: ___ Deferred: ___ Mod #: ____________ Request or Modification Title: __________________________________________________ Section 1: Criteria for Modification Request Please check the appropriate categories to indicate the business justification for this modification request. Modification Governance Category (check ONE) Modification Decision Criteria (check ALL that apply) State/Legal/Collective Bargaining Requirement Impacts the ability to go live or is a result of collective bargaining, Trustee requirements, Executive direction, or State / Federal regulations LBCC Business Requirement Modification would result in a significant reduction in manual effort Productivity Enhancement Modification would maintain a significant service level or add significant improvement in administrative productivity and/or service Software Improvement Without the modification, additional staff would be necessary to perform the business process Section 2: Business Justification (potential benefits, negative impact if requested modification is not implemented) Section 3: Detailed Requirements (including system access requirements if applicable) Section 4: Process Frequency (daily, weekly, monthly, etc) Section 5: Date Needed (completion date of modification request) Section 6: Attach Screen Shots or Provide Sample Data (if applicable) ACIT Dept/March 2006 _________________________________________________________________________________________________________ Request Title File Name: Section 7: Functional and Technical SPECIFICATION Module Business Test Conditions Last Revised: 12/04/03 Page 2 of 2